Care Coordination Center

Care Coordination Center

A better health care experience for you and those you love.

What Is the Care Coordination Center?

The Care Coordination Center (CCC) is a specialized ambulatory unit designed
to provide timely, comprehensive post-discharge care to complex high-risk
patients. The CCC oversees this care to ensure patients are transitioned
back to their primary care physicians safely. The CCC also offers compassionate
palliative care to patients with malignancies and other advanced illnesses.

Why Go to the Care Coordination Center?

The CCC provides patients a premium level of care. Office visits are 45-60
minutes, ensuring no patient is ever rushed. The visit includes a detailed
review of discharge instructions, pending labs, imaging studies, cultures
and pathology reports. The office visit also includes an in-depth review
of medications by our clinical pharmacist to promote drug safety and adherence
to treatment. Our seasoned dietitian educates patients on eating right
in context of their underlying conditions. The physician or nurse practitioner
concludes the visit by providing the patient with a customized treatment
and transition plan.

What Else Does the Care Coordination Center Offer?

The CCC offers additional services to support patients. The CCC staff coordinates
and facilitates home health, physical and occupational therapy, and follow-up
discharge visits with various specialists. We also specialize in discussing
end of life issues, clarifying goals of care, and helping patients and
their loved ones make difficult decisions.

What About My Primary Care Doctor?

The CCC functions as a step-down unit, providing additional care to support
high-risk patients. Once the patient's post-discharge goals to recovery
are met, the CCC safely transitions patients back to their primary care
physician for future care.

Who Is the Care Coordination Center Team?

Our team of warm and friendly professionals includes a Nurse Practitioner,
an Advance Practice Pharmacist, and a Registered Dietitian, all of whom
work in collaboration with the supervising physician Kristen Gutermuth,
MD. The CCC provides patients and their families an additional layer of
support to promote healing and wellness.